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Relapse Prevention

  • Cheza W. Collier
  • G. Alan Marlatt
Part of the Springer Series in Rehabilitation and Health book series (SSRH)

Abstract

This chapter discusses relapse prevention (RP) as it pertains to health behavior change, particularly in the addictions. RP is a cognitive-behavioral approach to treatment of habitual problem behaviors and maintenance of alternative coping behaviors. It is particularly applicable during the maintenance stage of behavior change when patients are most likely to lose their motivation for change and are at risk for reverting back to old, undesirable habits (e.g., smoking, overeating, excessive drinking, or other substance abuse).

Keywords

Eating Disorder Relapse Prevention Addictive Behavior Negative Emotional State Positive Outcome Expectancy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Annis, H. M. (1990). Relapse to substance abuse: Empirical findings within a cognitive-social learning approach. Journal of Psychoactive Drugs, 22(2), 117–123.PubMedCrossRefGoogle Scholar
  2. Annis, H. M., & Davis, C. S. (1989). Relapse prevention training: A cognitive-behavioral approach based on self-efficacy theory:? Journal of Chemical Dependency Treatment, 2(2), 81–103.Google Scholar
  3. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 191–215.PubMedCrossRefGoogle Scholar
  4. Bandura, A. (1978). Reflections on self-efficacy. Advances in Behaviour Research and Therapy, 1, 237–269.CrossRefGoogle Scholar
  5. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  6. Bell, P., & Evans, J. (1983). Counseling the Black alcoholic client. In T. D. Watts & R. Wright, Jr., (Eds.), Black alcoholism: Toward a comprehensive understanding. Springfield, IL: Thomas.Google Scholar
  7. Benson, H. (1975). The relaxation response. New York: Morrow.Google Scholar
  8. Blakey, R., & Baker, T. (1980). An exposure approach to alcohol abuse. Behavior Research and Therapy, 18, 319–325.CrossRefGoogle Scholar
  9. Brannock, J. C., Schandler, S. L., & Oncley, Jr., P. R. (1990). Cross-cultural and cognitive factors examined in groups of adolescent drinkers. Journal of Drug Issues, 20, 427–442.Google Scholar
  10. Brickman, P., Rabinowitz, V. C., Karuza, Jr., J., Coates, D., Cohn, E., & Kidder, L (1982). Models of helping and coping. American Psychologist, 37, 368–384.CrossRefGoogle Scholar
  11. Chaney, E. F., O’Leary, M. R., & Marlatt, G. A. (1978). Skill training with alcoholics. Journal of Consulting and Clinical Psychology, 46, 1092–1104.PubMedCrossRefGoogle Scholar
  12. Chiauzzi, E. J. (1991). Preventing relapse in the addictions: A biopsychosocial approach. Elmsford, NY: Pergamon.Google Scholar
  13. Childress, R. F., McLellan, A. T., & O’Brien, C. P. (1986). Role of conditioning factors in the development of drug dependence. Psychiatric Clinics of North America, 9, 413–425.PubMedGoogle Scholar
  14. Cloninger, C. R. (1987). Neurogenetic adaptive mechanisms in alcoholism. Science, 236, 410–416.PubMedCrossRefGoogle Scholar
  15. Collier-Phillips, W. C. (1992). Alcohol and hypertension: A lifestyle connection. Unpublished manuscript, University of Washington, Seattle, WA.Google Scholar
  16. Connors, G. J., &. Maisto, S. A. (1988). The alcohol expectancy construct: Overview and clinical applications. Cognitive Therapy and Research, 12, 487–504.CrossRefGoogle Scholar
  17. Cooney, N. L., Gillespie, R. A., Baker, L. H., & Kaplan, R. F. (1987). Cognitive changes after alcohol cue exposure. Journal of Consulting and Clinical Psychology, 55, 150–155.PubMedCrossRefGoogle Scholar
  18. Cummings, C., Gordon, J. R., & Marlatt, G. A. (1980). Relapse: Strategies of prevention and prediction. In W. R. Miller (Ed.), The addictive behaviors: Treatment of alcoholism, drug abuse, smoking and obesity (pp. 291–321). Oxford, UK: Pergamon.Google Scholar
  19. Curry, S., Marlatt, G. A., & Gordon, J. R. (1987). Abstinence violation effect: Validation of an attributional construct with smoking cessation. Journal of Consulting and Clinical Psychology, 55, 145–149.PubMedCrossRefGoogle Scholar
  20. Daley, D. C. (1989). A psychoeducational approach to relapse prevention. Journal of Chemical Dependency Treatment, 2(2), 105–124.Google Scholar
  21. Donovan, D. M., & Marlatt, G. A. (Eds.). (1988). Assessment of addictive behaviors. New York: Guilford.Google Scholar
  22. Forsberg, L K., & Goldman, M. S. (1987). Experience-dependent recovery of cognitive deficits in alcoholics: Extended transfer of training. Journal of Abnormal Psychology, 96(4), 345–353.PubMedCrossRefGoogle Scholar
  23. George, W. H. (1989). Marlatt and Gordon’s relapse prevention model: A cognitive-behavioral approach to understanding and preventing relapse. Journal of Chemical Dependency Treatment, 2(2), 125–152.Google Scholar
  24. George, W. H., & Marlatt, G. A. (1983). Alcoholism: The evolution of a behavioral perspective. In M. Galanter (Ed.), Recent developments in alcoholism, (Vol. 1, pp. 105–138). New York: Plenum Press.Google Scholar
  25. Goodwin, D. W. (1990). Genetic determinants of reinforcement from alcohol. In W. M. Cox (Ed.), Why people drink (pp. 37–50). New York: Gardner.Google Scholar
  26. Graham, S. (1992). “Most of the subjects were white and middle class”: Trends in published research on African Americans in selected APA journals, 1970-1989. American Psychologist, 47, 629–639.CrossRefGoogle Scholar
  27. Harper, F. D. (1983). Alcohol use and alcoholism among Black Americans: A review. In T. D. Watts & R. Wright, Jr. (Eds.), Black alcoholism: Toward a comprehensive understanding. Springfield, IL: Thomas.Google Scholar
  28. Hover, S. J., & Gaffhey, L R. (1988). Factors associated with smoking behavior in adolescent girls. Addictive Behaviors, 13, 139–145.PubMedCrossRefGoogle Scholar
  29. Laws, R. (1989). Relapse prevention with sex offenders. New York: Guilford.Google Scholar
  30. Loberg, T., Miller, W. R., Nathan, P. E., & Mariait, G. A. (Eds.). (1989). Addictive behaviors: Prevention and early intervention. Amsterdam: Swets & Zeitlinger.Google Scholar
  31. Marlatt, G. A. (1990). Cue exposure and relapse prevention in the treatment of addictive behaviors. Addictive Behaviors, 15, 395–399.PubMedCrossRefGoogle Scholar
  32. Marlatt, G. A. (1992). Substance abuse: Implications of a biopsychosocial model for prevention, treatment, and relapse prevention. In J. Grabowski & G. R. VandenBos (Eds.), Psychopharmacology: Basic mechanisms and applied intervention (pp. 127–162). Washington, DC: American Psychological Association.Google Scholar
  33. Marlatt, G. A., & Barrett, K. (1994). Relapse prevention in the treatment of substance abuse. In M. Galanter & H. D. Kleber (Eds.), The treatment of substance abuse (pp. 285–299). New York: American Psychiatric Press.Google Scholar
  34. Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention. New York: Guilford.Google Scholar
  35. Marlatt, G. A., & Rohsenow, D. R. (1980). Cognitive processes in alcohol use: Expectancy and the balanced placebo design. In N. K. Mello (Ed.), Advances in substance abuse (Vol. 1, pp. 159–199). Greenwich, CT: JAI Press.Google Scholar
  36. Murphy, T. J., Pagano, R. R., & Marlatt, G. A. (1986). Lifestyle modification with heavy alcohol drinkers: Effects of aerobic exercise and meditation. Addictive Behaviors, 11, 175–186.PubMedCrossRefGoogle Scholar
  37. Newlin, D. B., & Thompson, J. B. (1991). Chronic tolerance and sensitization to alcohol in sons of alcoholics. Alcoholism: Clinical and Experimental Research, 15, 399–405.CrossRefGoogle Scholar
  38. Oetting, E. R., & Beauvais, F. (1987). Common elements in youth drug abuse: Peer clusters and other psychosocial factors. Journal of Drug Issues, 17, 133–151.Google Scholar
  39. Parsons, O. A. (1989). Impairment in sober alcoholics’ cognitive functioning: The search for determinants. In T. Loberg, W. R. Miller, P. E. Nathan, & G. A. Marlatt, (Eds.), Addictive behaviors: Prevention and early intervention (pp. 101–116). Amsterdam: Swets & Zeitlinger.Google Scholar
  40. Robbins, C., & Clayton, R. R. (1989). Gender-related differences in psychoactive drug use among older adults. Journal of Drug Issues, 19, 207–219.Google Scholar
  41. Rohsenow, D. J., & Marlatt, G. A. (1981). The balanced placebo design: Methodological considerations. Addictive Behaviors, 6, 107–122.PubMedCrossRefGoogle Scholar
  42. Sandberg, G. G., & Marlatt, G. A. (1989). Relapse fantasies. In R. Laws, (Ed.), Relapse prevention with sex offenders (pp. 147–151). New York: Guilford.Google Scholar
  43. Stein, J. A., Newcomb, M. D., & Bentler, P. M. (1987). An 8-year study of multiple influences on drug use and drug use consequences. Journal of Personality and Social Psychology, 53, 1094–1105.PubMedCrossRefGoogle Scholar
  44. Wallace, B. C. (1991). Crack cocaine: A practical treatment approach for the chemically dependent. New York: Brunner/Mazel.Google Scholar
  45. Watts, T. D., & Wright, R., Jr. (Eds.). (1983). Black alcoholism: Toward a comprehensive understandings. Springfield, IL: Thomas.Google Scholar
  46. Webster’s II: New Riverside University Dictionary. (1984). New York: Riverside.Google Scholar
  47. Weibel-Orlando, J. (1987). Culture-specific treatment modalities: Assessing client-to-treatment fit in Indian alcoholism programs. In W. M. Cox (Ed.), Treatment and prevention of alcohol problems: A resource manual (pp. 261–283). Orlando, FL: Academic Press.CrossRefGoogle Scholar
  48. Weiner, H. D., Wallen, M. C., & Zankowski, G. L. (1990). Culture and social class as intervening variables in relapse prevention with chemically dependent women. Journal of Psychoactive Drugs, 22(2), 239–248.PubMedCrossRefGoogle Scholar
  49. Zackon, F. N. (1989). Relapse and “re-joyment”: Observations and reflections. Journal of Chemical Dependency Treatment, 2(2), 67–77.Google Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Cheza W. Collier
    • 1
  • G. Alan Marlatt
    • 1
  1. 1.Addictive Behaviors Research Center, Department of PsychologyUniversity of WashingtonSeattleUSA

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